philhealth circular no. 0035, s.2013 annex 7 list of procedures with laterality

RVS CODE DESCRIPTION

15820 Blepharoplasty, lower eyelid15822 Blepharoplasty, upper eyelid;15823 Blepharoplasty, upper eyelid; with excessive skin weighting down lid19160 Mastectomy, partial;19162 Mastectomy, partial; with axillary lymphadenectomy19180 Mastectomy, simple, complete19182 Mastectomy, subcutaneous19200 Mastectomy, radical, icnluding pectoral muscles, axillary lymph nodes19220 Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)

19240Mastectomy, modified radical, including axillary lymph nodes, w/ or w/o pectoralis minor muscle, but excluding pectoralis major

muscle19340 Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction 19342 Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction 19350 Nipple/areola reconstruction 19357 Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion 19361 Breast reconstruction with latissimus dorsi flap, with or without prosthetic implant 19364 Breast reconstruction with free flap 19366 Breast reconstruction with other technique

19367 Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site;

19369 Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double pedicle, including closure of donor site

19370 Open periprosthetic capsulotomy, breast 19371 Periprosthetic capsulectomy, breast 23515 Open treatment of clavicular fracture, w/ or w/o internal or external fixation23520 Closed treatment of sternoclavicular dislocation23530 Open treatment of sternoclavicular disloction, acute or chronic;23532 Open treatment of sternoclavicular disloction, w/ fascial graft (includes obtaining graft)23540 Closed tratment of acromioclavicular dislocation23550 Open treatment of acromioclavicular dislocation, acute or chronic;23552 Open treatment of acromioclavicular dislocation, acute or chronic; w/ fascial graft (includes obtaining graft)23570 Closed treatment of scapular fracture23585 Open treatment of scapular fracture (body, glenoid or acromion) w/ or w/o internal fixation23600 Closed treatment of proximal humeral (surgical or anatomical neck) fracture

23615Open treatment of proximal humeral (surgical or anatomical neck) fracture, w/ or w/o internal or external fixation, w/ or w/o repair

of tuberosity(-ies);

23616Open treatment of proximal humeral (surgical or anatomical neck) fracture, w/ or w/o internal or external fixation, w/ or w/o repair

of tuberosity(-ies); w/ proximal humeral prosthetic replacement23620 Closed treatment of greater tuberosity fracture23630 Open treatment of greater tuberosity fracture, w/ or w/o internal or external fixation23650 Closed treatment of shoulder dislocation23660 Open treatment of acute shoulder dislocation23665 Closed treatment of shoulder dislocation,/ fracture of greater tuberosity23670 Open treatment of shoulder dislocation, w/ fracture of greater tuberosity, w/ or w/o internal or external fixation23675 Closed treatment of shoulder dislocation, w/ surgical or anatomical neck fracture23680 Open treatment of shoulder dislocation, w/ surgical or anatomical neck fracture, w/ or w/o internal or external fixation23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)23900 Interthoracoscapular amputation (forequarter)23920 Disarticulation of shoulder; 24500 Closed treatment of humeral shaft fracture24515 Open treatment of humeral shaft fracture w/ plate/screws, w/ or w/o cerclage

24516 Open treatment of humeral shaft fracture, w/ insertion of intramedullary implant, w/ or w/o cerclage and/or locking screws

24530 Closed treatment of supracondylar or transcondylar humeral fracture, w/ or w/o intercondylar extension

24545Open treatment of humeral supracondylar or transcondylar fracture, w/ or w/o internal or external fixation; w/o intercondylar

extension

24546Open treatment of humeral supracondylar or transcondylar fracture, w/ or w/o internal or external fixation; w/ intercondylar

extension24560 Closed treatment of humeral epicondylar fracture, medial or lateral;24575 Open treatment of humeral epicondylar fracture, medial or lateral, w/ or w/o internal or external fixation24576 Closed treatment of humeral condylar fracture, medial or lateral 24579 Open treatment of humeral condylar fracture, medial or lateral, w/ or w/o internal or external fixation

24586Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal

radius);


radius); w/ implant arthroplasty24600 Treatment of closed elbow dislocation

ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

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24615 Open treatment of acute or chronic elbow dislocation

24620 Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna w/ dislocation of radial head)

24635Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna w/ dislocation of radial head), w/

or w/o internal or external fixation24640 Closed treatment of radial head subluxation in child, "nursemaid elbow"24650 Closed treatment of radial head or neck fracture24665 Open treatment of radial head or neck fracture, w/ or w/o internal fixation or radial head excision;


radius); w/ radial head prosthetic replacement24670 Closed treatment of ulnar fracture, proximal end (olecranon process)24685 Open treatment of ulnar fracture proximal end (olecranon process), w/ or w/o internal or external fixation24900 Amputation, arm through humerus; w/ primary closure24920 Amputation, arm through humerus; open, circular (guillotine)24925 Amputation, arm through humerus; secondary closure or scar revision24930 Amputation, arm through humerus; re-amputation24931 Amputation, arm through humerus; w/ implant25500 Closed treatment of radial shaft fracture25515 Open treatment of radial shaft fracture, w/ or w/o internal or external fixation25520 Closed treatment of radial shaft fracture, w/ dislocation of distal radio-ulnar joint (Galeazzi fracture/dislocation)

25525Open treatment of radial shaft fracture, w/ internal and/or external fixation and closed treatment of dislocation of distal radio-ulnar

joint (Galeazzi fracture/dislocation), w/ or w/o percutaneous skeletal fixation

25526Open treatment of radial shaft fracture, w/ internal and/or external fixation and open treatment, w/ or w/o internal or external

fixation of distal radio-ulnar joint (Galleazi fracture/dislocation), includes repair of triangular cartilage25530 Closed treatment of ulnar shaft fracture25545 Open treatment of ulnar shaft fracture, w/ or w/o internal or external fixation25560 Closed treatment of radial and ulnar shaft fractures25574 Open treatment of radial and ulnar shaft fractures, w/ internal or external fixation; of radius or ulna25575 Open treatment of radial and ulnar shaft fractures, w/ internal or external fixation; of radius and ulna

25600 Closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, w/ or w/o fracture of ulnar styloid

25620Open treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, w/ or w/o fracture of ulnar styloid, w/

or w/o internal or external fixation25622 Closed treatment of carpal scaphoid (navicular) fracture25628 Open treatment of carpal scaphoid (navicular) fracture, w/ or w/o internal or external fixation25630 Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular))25645 Open treatment of carpal bone fracture (excluding carpal scaphoid (navicular)), each bone25650 Closed treatment of ulnar styloid fracture25660 Closed treatment of radiocarpal or intercarpal dislocation, one or more bones25670 Open treatment of radiocarpal or intercarpal dislocation, one or more bones25675 Closed treatment of distal radioulnar dislocation25676 Open treatment of distal radioulnar dislocation, acute or chronic25680 Closed treatment of trans-scaphoperilunar type of fracture dislocation25685 Open treatment of trans-scaphoperilunar type of fracture dislocation25690 Closed treatment of lunate dislocation25695 Open treatment of lunate dislocation25900 Amputation, forearm, through, radius and ulna;25905 Amputation, forearm, through, open, circular (guillotine)25907 Amputation, forearm, through, secondary closure or scar revision25909 Amputation, forearm, through, re-amputation25920 Disarticulation through wrist; 25922 Disarticulation through wrist; secondary closure or scar revision25924 Disarticulation through wrist; re-amputation25927 Transmetacarpal amputation; 25929 Transmetacarpal amputation; secondary closure or scar revision25931 Transmetacarpal amputation; re-amputation26600 Closed treatment of metacarpal fracture, single26607 Closed treatment of metacarpal fracture, w/ internal or external fixation26615 Open treatment of metacarpal fracture, single, w/ or w/o internal or external fixation, each bone26641 Closed treatment of carpometacarpal dislocation, thumb26645 Closed tratment of carpometacarpal fracture dislocation, thumb (Bennett fracture)

26665 Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), w/ or w/o internal or external fixation

26670 Closed treatment of carpometacarpal dislocation, other than thumb (Bennett fracture); single

26685Open treatment of carpometacarpal dislocation, other than thumb (Bennett fracture); single, w/ or w/o Open treatment of

carpometacarpal dislocation, other than thumb (Bennett fracture); single, internal or external fixation

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26686Open treatment of carpometacarpal dislocation, other than thumb (Bennett fracture); single, complex, multiple or delayed

reduction26700 Closed treatment of metacarpophalangeal dislocation, single26715 Open treatment of metacarpophalangeal dislocation, single, w/ or w/o internal or external fixation26720 Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb

26735Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, w/ or w/o internal or external fixation,

each26740 Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint

26746Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, w/ or w/o internal or external fixation,

each26750 Closed treatment of distal phalangeal fracture, finger or thumb26765 Open treatment of distal phalangeal fracture, finger or thumb, w/ or w/o internal or external fixation, each26770 Closed treatment of interphalangeal joint dislocation, single26785 Open treatment of interphalangeal joint dislocation, w/ or w/o internal or external fixation, single26910 Amputation, metacarpal, w/ finger or thumb (ray amputation), single, w/ or w/o interosseous transfer

26951 Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; w/ direct closure

26952Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; w/ local advancement flaps

(V-Y, hood)27175 Treatment of slipped femoral epiphysis; by traction, w/o reduction27176 Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ27177 Open treatment of slipped femoral epiphysis; single of multiple pinning or bone graft (includes obtaining graft)27178 Open treatment of slipped femoral epiphysis; closed manipulation w/ single or multiple pinning27179 Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)27181 Open treatment of slipped femoral epiphysis; osteotomy and internal fixation

27215Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s) (e.g., pelvic fracture(s) w/c do not disrupt the pelvic

ring), w/ internal fixation27217 Open treatment of anterior ring fracture and/or dislocation w/ internal fixation (includes pubic symphysis and/or rami)

27218 Open treatment of posterior ring fracture and/or dislocation w/ internal fixation (includes ilium, sacroiliac joint and/or sacrum)

27220 Closed treatment of acetabulum (hip socket) fracture(s)27226 Open treatment of posterior or anterior acetabular wall fracture, w/ internal fixation

27227Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the

acetabulum, w/ internal fixation

27228Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column

fracture w/ complete articular detachment, or single column or transverse fracture w/ associated acetabular wall fracture, w/ inte

27230 Closed treatment of femoral fracture, proximal end, neck

27236 Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (direct fracture exposure)

27238 Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture

27244Open treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; w/ plate/screw type implant, w/ or w/o

cerclage

27245Open treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; w/ intramedullary implant, w/ or w/o

interlocking screws and/or cerclage27246 Closed treatment of greater trochanteric fracture27248 Open treatment of greater trochanteric fracture, w/ or w/o internal or external fixation27250 Closed treatment of hip dislocation, traumatic27253 Open treatment of hip dislocation, traumatic, w/o internal fixation

27254 Open treatment of hip dislocation, traumatic w/ acetabular wall and femoral head fracture, w/ or w/o internal or external fixation

27258Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head

in acetabulum (including tenotomy, etc);

27259Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head

in acetabulum (including tenotomy, etc); w/ femoral shaft shortening27265 Closed treatment of post hip arthroplasty dislocation27290 Interpelviabdominal amputation (hindquarter amputation)27295 Disarticulation of hip27501 Closed treatment of supracondylar or transcondylar femoral fracture w/ or w/o intercondylar extension27502 Closed treatment of femoral shaft fracture, w/ or w/o skin or skeletal traction

27503Closed treatment of supracondylar or transcondylar femoral fracture w/ or w/o intercondylar extension, w/ or w/o skin or skeletal

traction

27506Open treatment of femoral shaft fracture, w/ or w/o external fixation, w/ insertion of intramedullary implant, w/ or w/o cerclage

and/or locking screws27507 Open treatment of femoral shaft fracture w/ plate/screws, w/ or w/o cerclage27510 Closed treatment of femoral fracture, distal end, medial or lateral condyle

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27511Open treatment of femoral supracondylar or transcondylar fracture w/o intercondylar extension, w/ or w/o internal or external

fixation

27513Open treatment of femoral supracondylar or transcondylar fracture w/ intercondylar extension, w/ or w/o internal or external

fixation27514 Open treatment of femoral fracture, distal end, medial or lateral condyle, w/ or w/o internal or external fixation27516 Closed treatment of distal femoral epiphyseal separation27519 Open treatment of distal femoral epiphyseal separation, w/ or w/o internal or external fixation27520 Closed treatment of patellar fracture27524 Open treatment of patellar fracture, w/ internal fixation and/or partial or complete patellectomy and soft tissue repair27530 Closed treatment of tibial fracture, proximal (plateau)27535 Open treatment of tibial fracture, proximal (plateau); unicondylar, w/ or w/o internal or external fixation27536 Open treatment of tibial fracture, proximal (plateau); bicondylar, w/ or w/o internal fixation27538 Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee

27540 Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, w/ or w/o internal or external fixation

27550 Closed treatment of knee dislocation

27556Open treatment of knee dislocation, w/ or w/o internal or external fixation; w/o primary ligamentous repair or

augmentation/reconstruction27557 Open treatment of knee dislocation, w/ or w/o internal or external fixation; w/ primary ligamentous repair

27558Open treatment of knee dislocation, w/ or w/o internal or external fixation; w/ primary ligamentous repair, w/

augmentation/reconstruction27560 Closed treatment of patellar dislocation27566 Open treatment of patellar dislocation, w/ or w/o partial or total patellectomy27590 Amputation, thigh, through femur, any level; 27591 Amputation, thigh, through femur, any level; immediate fitting technique including first cast27592 Amputation, thigh, through femur, any level; open, circular (guillotine)27594 Amputation, thigh, through femur, any level; secondary closure or scar revision27596 Amputation, thigh, through femur, any level; re-amputaion27598 Disarticulation at knee27750 Closed treatment of tibial shaft fracture (w/ or w/o fibular fracture)

27752 Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction

27758 Open treatment of tibial shaft fracture (w/ or w/o fibular fracture) w/ plate/screws, w/ or w/o cerclage

27759Open treatment of tibial shaft fracture (w/ or w/o fibular fracture) by intramedullary implant, w/ or w/o interlocking screws and/or

cerclage27760 Closed treatment of medial malleolus fracture27766 Open treatment of medial malleolus fracture, w/ or w/o internal or external fixation27780 Closed treatment of proximal fibula or shaft fracture27784 Open treatment of proximal fibula or shaft fracture, w/ or w/o internal or external fixation27786 Closed treatment of distal fibular fracture (lateral malleolus)27792 Open treatment of distal fibular fracture (lateral malleolus), w/ or w/o internal or external fixation w/o manipulation27808 Closed treatment of bimalleolar ankle fracture, (including Potts)27814 Open treatment of bimalleolar ankle fracture, w/ or w/o internal or external fixation27816 Closed treatment of trimalleolar ankle fracture

27822Open treatment of trimalleolar ankle fracture, w/ or w/o internal or external fixation, medial and/or lateral malleolus; w/o fixation

of posterior lip

27823Open treatment of trimalleolar ankle fracture, w/ or w/o internal or external fixation, medial and/or lateral malleolus; w/ fixation of

posterior lip27824 Closed treatment of fracture of weight bearing articular portion of distal tibia (e.g., pilon or tibial plafond)

27826Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon or tibial plafond), w/ internal or

external fixation; of fibula only


external fixation; of tibia only


external fixation; of both tibia and fibula27829 Open treatment of distal tibiofibular joint (syndesmosis) disruption, w/ or w/o internal or external fixation27830 Closed treatment of proximal tibiofibular joint dislocation

27832 Open treatment of proximal tibiofibular joint dislocation, w/ or w/o internal or external fixation, or w/ excision of proximal fibula

27840 Closed treatment of ankle dislocation27846 Open treatment of ankle dislocation, w/ or w/o percutaneous skeletal fixation; w/o repair or internal fixation27848 Open treatment of ankle dislocation, w/ or w/o percutaneous skeletal fixation; w/ repair or internal or external fixation27880 Amputation, leg, through tibia and fibula; 27881 Amputation, leg, through tibia and fibula; w/ immediate fitting technique including application of first cast27882 Amputation, leg, through tibia and fibula; open, circular (guillotine)27884 Amputation, leg, through tibia and fibula; secondary closure or scar revision27886 Amputation, leg, through tibia and fibula; re-amputation

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27888 Amputation, ankle, through malleoli of tibia and fibula (Syme, Pirogoff type procedures), w/ plastic closure and resection of nerves

27889 Ankle disarticulation28400 Closed treatment of calcaneal fracture28415 Open treatment of calcaneal fracture, w/ or w/o internal or external fixation;

28420Open treatment of calcaneal fracture, w/ or w/o internal or external fixation; w/ primary iliac or other autogenous bone graft

(includes obtaining graft)28430 Closed treatment of talus fracture28445 Open treatment of talus fracture, w/ or w/o internal or external fixation28450 Treatment of tarsal bone fracture (except talus and calcaneus)28465 Open treatment of tarsal bone fracture (except talus and calcaneus), w/ or w/o internal or external fixation28470 Closed treatment of metatarsal fracture28485 Open treatment of metatarsal fracture, w/ or w/o internal or external fixation28490 Closed treatment of fracture great toe, phalanx or phalanges28505 Open treatment of fracture great toe, phalanx or phalanges, w/ or w/o internal or external fixation28510 Closed treatment of fracture, phalanx or phalanges, other than great toe28525 Open treatment of fracture, phalanx or phalanges, other than great toe, w/ or w/o internal or external fixation28530 Closed treatment of sesamoid fracture28531 Open treatment of sesamoid fracture, w/ or w/o internal fixation28540 Closed treatment of tarsal bone dislocation, other than talotarsal28555 Open treatment of tarsal bone dislocation, w/ or w/o internal or external fixation28570 Closed treatment of talotarsal joint dislocation28585 Open treatment of talotarsal joint dislocation, w/ or w/o internal or external fixation28600 Closed treatment of tarsometatarsal joint dislocation28615 Open treatment of tarsometatarsal joint dislocation, w/ or w/o internal or external fixation28630 Closed treatment of metatarsophalangeal joint dislocation28645 Open treatment of metatarsophalangeal joint dislocation, w/ or w/o internal or external fixation28660 Closed treatment of interphalangeal joint dislocation28675 Open treatment of interphalangeal joint dislocation, w/ or w/o internal or external fixation28800 Amputation, foot; midtarsal (Chopart type procedure)28810 Amputation, metatarsal, w/ toe, single28820 Amputation, toe; metatarsophalangeal joint28825 Amputation, toe; interphalangeal joint29058 Application of body cast, shoulder to hips; plaster Velpeau29065 Application of body cast, shoulder to hips; shoulder to hand (long arm)29075 Application of body cast, shoulder to hips; elbow to finger (short arm)29085 Application of body cast, shoulder to hips; hand and lower forearm (gauntlet)29305 Application of hip spica cast; one leg29325 Application of hip spica cast; one and one-half spica or both legs29345 Application of long leg cast (thigh to toes); 29355 Application of long leg cast (thigh to toes); walker or ambulatory type29358 Application of long leg cast brace29365 Application of cylinder cast (thigh to ankle)29405 Application of short leg cast (below knee to toes); 29425 Application of short leg cast (below knee to toes); walking or ambulatory type29435 Application of patellar tendon bearing (PTB) cast29445 Application of rigid total contact leg cast29450 Application of clubfoot cast w/ molding or manipulation, long or short leg49495 Repair initial inguinal hernia, under age 6 months, w/ or w/o hydrocelectomy; reducible49496 Repair initial inguinal hernia, under age 6 months, w/ or w/o hydrocelectomy; incarcerated49497 Repair initial inguinal hernia, under age 6 months, w/ or w/o hydrocelectomy; strangulated49500 Repair initial inguinal hernia, age 6 months to under 5 years, w/ or w/o hydrocelectomy; reducible49501 Repair initial inguinal hernia, age 6 months to under 5 years, w/ or w/o hydrocelectomy; incarcerated 49502 Repair initial inguinal hernia, age 6 months to under 5 years, w/ or w/o hydrocelectomy; strangulated49505 Repair initial inguinal hernia, age 5 years or over; reducible49507 Repair initial inguinal hernia, age 5 years or over; incarcerated49509 Repair initial inguinal hernia, age 5 years or over; strangulated49520 Repair recurrent inguinal hernia, any age; reducible49521 Repair recurrent inguinal hernia, any age; incarcerated 49522 Repair recurrent inguinal hernia, any age; strangulated49525 Repair inguinal hernia, sliding, any age49540 Repair lumbar hernia49550 Repair initial femoral hernia, any age; reducible49553 Repair initial femoral hernia, any age; incarcerated49554 Repair initial femoral hernia, any age; strangulated49555 Repair recurrent femoral hernia; reducible49557 Repair recurrent femoral hernia; incarcerated

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49558 Repair recurrent femoral hernia; strangulated49560 Repair initial incisional hernia; reducible49561 Repair initial incisional hernia; incarcerated49562 Repair initial incisional hernia; strangulated49565 Repair recurrent incisional hernia; reducible49566 Repair recurrent incisional hernia; incarcerated 49567 Repair recurrent incisional hernia; strangulated49590 Repair spigelian hernia49650 Laparoscopy, surgical; repair of initial inguinal hernia 49651 Laparoscopy, surgical; repair of recurrent inguinal hernia 54520 Orchiectomy, simple (including subcapsular), w/ or w/o testicular prosthesis, scrotal or inguinal approach54530 Orchiectomy, radical, for tumor; inguinal approach54535 Orchiectomy, radical, for tumor; w/ abdominal exploration54550 Exploration for undescended testis (inguinal or scrotal area)54560 Exploration for undescended testis w/ abdominal exploration54600 Reduction of torsion of testis, surgical, w/ or w/o fixation of contralateral testis54620 Fixation of contralateral testis 54640 Orchiopexy, inguinal approach, w/ or w/o hernia repair54650 Orchiopexy, abdominal approach, for intra-abdominal testis (e.g., Fowler-Stephens)54670 Suture or repair of testicular injury54680 Transplantation of testis(es) to thigh (because of scrotal destruction)54690 Laparoscopy, surgical; orchiectomy 54692 Laparoscopy, surgical; orchiopexy for intra-abdominal testis 61330 Decompression of orbit only, transcranial approach61332 Exploration of orbit (transcranial approach); w/ biopsy61333 Exploration of orbit (transcranial approach); w/ removal of lesion61334 Exploration of orbit (transcranial approach); w/ removal of foreign body65091 Evisceration of ocular contents; w/o implant65093 Evisceration of ocular contents; w/ implant65101 Enucleation of eye; w/o implant65103 Enucleation of eye; w/ implant, muscles not attached to implant65105 Enucleation of eye; w/ implant, muscles attached to implant65110 Exenteration of orbit without skin graft, removal of orbital contents; only65112 Exenteration of orbit without skin graft, removal of orbital contents; w/ therapeutic removal of bone65114 Exenteration of orbit without skin graft, removal of orbital contents; w/ muscle or myocutaneous flap65130 Insertion of ocular implant; after evisceration, in scleral shell 65135 Insertion of ocular implant; after enucleation, muscles not attached to implant 65140 Insertion of ocular implant; after enucleation, muscles attached to implant 65150 Reinsertion of ocular implant; with or without conjunctival graft 65155 Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant 65175 Removal of ocular implant 65205 Removal of foreign body, external eye; conjunctival, superficial 65210 Removal of foreign body, external eye; subconjunctival or scleral, with slit lamp 65222 Removal of foreign body, external eye; cornea, with slit lamp 65235 Removal of foreign body, intraocular; from anterior chamber or lens65260 Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route65265 Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction65270 Repair of laceration; conjunctiva, w/ or w/o nonperforating laceration sclera, direct closure65273 Repair of laceration; conjunctiva, by mobilization and rearrangement65275 Repair of laceration; cornea, nonperforating, w/ or w/o removal foreign body65280 Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue65285 Repair of laceration; cornea and/or sclera, perforating, w/ reposition or resection of uveal tissue65286 Repair of laceration; application of tissue glue, wounds of cornea and/or sclera65290 Repair of wound, extraocular muscle, tendon and/ or Tenons capsule65450 Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization65710 Keratoplasty (corneal transplant); lamellar65730 Keratoplasty (corneal transplant); penetrating (except in aphakia)65750 Keratoplasty (corneal transplant); penetrating (in aphakia)65755 Keratoplasty (corneal transplant); penetrating (in pseudophakia)65760 Keratomileusis65765 Keratophakia65767 Epikeratoplasty65770 Keratoprosthesis65771 Radial keratotomy65772 Corneal relaxing incision for correction of surgically induced astigmatism65775 Corneal wedge resection for correction of surgically induced astigmatism65780 Ocular surface reconstruction; amniotic membrane transplantation

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65781 Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor)65782 Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)65805 Paracentesis of anterior chamber of eye; w/ therapeutic release of aqueous

65810Paracentesis of anterior chamber of eye; w/ removal of vitreous and/or discission of anterior hyaloid membrane, w/ or w/o air

injection65815 Paracentesis of anterior chamber of eye; w/ removal of blood, w/ or w/o irrigation and/or air injection65820 Goniotomy65850 Trabeculotomy ab externo65855 Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)65860 Severing adhesions of anterior segment, laser technique

65865 Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); goniosynechiae

65870Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); anterior synechiae, except

goniosynechiae

65875 Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); posterior synechiae

65880 Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); corneovitreal adhesions

65900 Removal of epithelial material, anterior segment eye65920 Removal of implanted material, anterior segment eye66150 Fistulization of scalera for glaucoma; trephination w/ iridectomy66155 Fistulization of scalera for glaucoma; thermocauterization w/ iridectomy66160 Fistulization of scalera for glaucoma; sclerectomy w/ punch or scissors, w/ iridectomy66165 Fistulization of scalera for glaucoma; iridencleisis or iridotasis66170 Fistulization of scalera for glaucoma; trabeculectomy ab externo in absence of previous surgery

66172Fistulization of scalera for glaucoma; trabeculectomy ab externo w/ scarring from previous ocular surgery or trauma (includes

injection of antifibrotic agents)66180 Aquenous shunt to extraocular reservoir (e.g., Molteno, Schocket, Denver-Krupin)66185 Revision of aqueous shunt to extraocular reservoir66220 Repair of scleral staphyloma; w/o graft66225 Repair of scleral staphyloma; w/ graft66500 Iridotomy by stab incision; except transfixion66505 Iridotomy by stab incision; w/ transfixion as for iris bombe66600 Iridectomy, w/ corneoscleral or corneal section; for removal of lesion66605 Iridectomy, w/ corneoscleral or corneal section; w/ cyclectomy66625 Iridectomy, w/ corneoscleral or corneal section; peripheral for glaucoma 66630 Iridectomy, w/ corneoscleral or corneal section; sector for glaucoma 66680 Repair of iris, ciliary body (as for iridodialysis)66682 Suture of iris, ciliary body w/ retrieval of suture through small incision (e.g., McCannel suture)66700 Ciliary body destruction; diathermy66710 Ciliary body destruction; cyclophotocoagulation66720 Ciliary body destruction; cryotherapy66740 Ciliary body destruction; cyclodialysis66761 Iridotomy/iridectomy by laser surgery (e.g., for glaucoma) ( one or more sessions)

66762 Iridoplasty by photocoagulation (one or more sessions) (e.g., for improvement of vision, for widening of anterior chamber angle)

66770 Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)

66820Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique

(Ziegler or Wheeler knife)

66821Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior

hyaloid); laser surgery (e.g., YAG laser) (one or more stages)66825 Repositioning of intraocular lens prosthesis, requiring an incision

66830Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) w/ corneo-scleral section, w/

or w/o iridectomy (iridocapsulotomy, iridocapsulectomy)66840 Removal of lens material; aspiration technique, one or more stages

66850 Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (e.g., phacoemulsification), w/ aspiration

66852 Removal of lens material; pars plana approach, with or without vitrectomy66920 Removal of lens material; intracapsular66930 Removal of lens material; intracapsular, for dislocated lens66940 Removal of lens material; extracapsular

66982Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique

(eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in rout

66983* Intracapsular cataract extraction w/ insertion of intraocular lens prosthesis (one stage procedure)

66984* Extracapsular cataract removal w/ insertion of intraocular lens prosthesis (one stage procedure), (e.g., irrigation and aspiration)

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66985 Insertion of intraocular lens prosthesis, not associated with cataract removal66986 Exchange of intraocular lens

66987* Extracapsular cataract removal w/ insertion of intraocular lens prosthesis (one stage procedure), (e.g., phacoemulsification)

66991 Revision of failed filter; with or without explantation/exchange of shunt 66992 Revision of failed filter; with excision of bleb cyst 66993 Revision of failed filter; with choroidal tap 66994 Revision of failed filter; with posterior sclerotomy 66995 Revision of failed filter; with anterior chamber reformation 66996 Revision of filtering bleb, needling technique; without injection of anti-metabolite 66997 Revision of filtering bleb, needling technique; with injection of anti-metabolite 66998 Release of scleral flap suture by laser suture lysis (new code)66999 Revision of overfiltering bleb (includes autologous blood injection, cryotherapy, mattress sutures, etc.) 67005 Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal

67010 Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal w/ mechanical vitrectomy

67015 Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)67036 Vitrectomy, mechanical, pars plana approach; 67038 Vitrectomy, mechanical, pars plana approach; w/ epiretinal membrane stripping67039 Vitrectomy, mechanical, pars plana approach; w/ focal endolaser photocoagulation67040 Vitrectomy, mechanical, pars plana approach; w/ endolaser panretinal photocoagulation67041 Vitrectomy, mechanical, pars plana approach; with internal limiting membrane (ILM) peeling 67042 Vitrectomy, mechanical, pars plana approach; with radial optic nerve neurotomy (RON) 67043 Vitrectomy, mechanical, pars plana approach; with sheathotomy for branch retinal vein occlusion

67044 Vitrectomy, mechanical, pars plana approach; with macular translocation (limited by retinotomy and/or scleral imbrication)

67045 Vitrectomy, mechanical, pars plana approach; with macular translocation (total) 67046 Vitrectomy, mechanical, pars plana approach; with removal of subretinal membranes 67047 Vitrectomy, mechanical, pars plana approach; with removal of choroidal neovascular membrane

67048 Vitrectomy, mechanical, pars plana approach; with endodrainage of subretinal hemorrhage (with or without tPA injection)

67049 Vitrectomy, mechanical, pars plana approach; with removal of dropped IOL 67050 Vitrectomy, mechanical, pars plana approach; with phacofragmentation for dropped lens material

67051 Vitrectomy, mechanical, pars plana approach; with internal tamponade with air, gas, silicone oil, perfluorocarbon liquid

67052 Vitrectomy, mechanical, pars plana approach; with insertion of scleral fixated intraocular lens, with or without anterior vitrectomy

67101 Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, w/ or w/o drainage of subretinal fluid67105 Repair of retinal detachment, one or more sessions; photocoagulation, w/ or w/o drainage of subretinal fluid

67107Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), w/ or w/o

implant, w/ or w/o cryotherapy, photocoagulation, and drainage of subretinal fluid

67108Repair of retinal detachment; w/ vitrectomy, any method, w/ or w/o air or gas tamponade, focal endolaser photocoagulation,

cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique67110 Repair of retinal detachment; by injection of air or other gas (e.g., pneumatic retinopexy)

67112Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s)

using scleral buckling or vitrectomy techniques67115 Release of encircling material (posterior segment)67120 Removal of implanted material, posterior segment; extraocular67121 Removal of implanted material, posterior segment; intraocular

67208Destruction of localized lesion of retina (e.g., maculopathy, choroidopathy, small tumors), one or more sessions; cryotherapy,

diathermy

67210Destruction of localized lesion of retina (e.g., maculopathy, choroidopathy, small tumors), one or more sessions; photocoagulation

(laser or xenon arc)

67218Destruction of localized lesion of retina (e.g., maculopathy, choroidopathy, small tumors), one or more sessions; radiation by

implantation of source (includes removal of source)

67220 Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation (e.g., laser), one or more sessions

67221 Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous infusions

67222 Destruction of localized lesion of choroid (e.g., choroidal neovascularization); transpupillary thermotherapy

67227 Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy), one or more sessions; cryotherapy, diathermy

67228Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy), one or more sessions; photocoagulation (laser or

xenon arc)67250 Scleral reinforcement67311 Strabismus surgery, recession or resection procedure (patient not previously operated on); one horizontal muscle67312 Strabismus surgery, recession or resection procedure (patient not previously operated on); two horizontal muscles

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67314Strabismus surgery, recession or resection procedure (patient not previously operated on); one vertical muscle (excluding superior

oblique)

67316Strabismus surgery, recession or resection procedure (patient not previously operated on); two or more vertical muscles (excluding

superior oblique)67318 Strabismus surgery, any procedure (patient not previously operated on), superior oblique muscle67320 Transposition procedure (e.g., for paretic extraocular muscle), any extraocular muscle (specify)67331 Strabismus surgery on patient w/ previous eye surgery or injury that did not involve the extraocular muscles

67332Strabismus surgery on patient w/ scaring of extraocular muscles (e.g., prior ocular injury, strabismus or retinal detachment surgery)

or restrictive myopathy (e.g., dysthyroid ophthalmopathy)67334 Strabismus surgery by posterior fixation suture technique, w/ or w/o muscle recession67340 Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s)67343 Release of extensive scar tissue w/o detaching extraocular muscle 67345 Chemodenervation of extraocular muscle67400 Orbitotomy w/o bone flap (frontal or transconjunctival approach); for exploration, w/ or w/o biopsy67405 Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ drainage only67412 Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ removal of lesion67413 Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ removal of foreign body67414 Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ removal of bone for decompression67415 Fine needle aspiration of orbital contents67420 Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ removal of lesion67430 Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ removal of foreign body67440 Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ drainage67445 Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ removal of bone for decompression67550 Orbital implant (implant outside muscle cone); insertion 67560 Orbital implant (implant outside muscle cone); removal or revision 67580 Repair of anophthalmic socket; with insertion or removal of orbital implant within muscle cone 67581 Repair of anophthalmic socket; with exchange or orbital implant 67582 Repair of anophthalmic socket; with exchange of orbital implant and reattachment of muscles 67583 Repair of anophthalmic socket; with fornix reconstruction using sutures

67584 Repair of anophthalmic socket; with fornix reconstruction using buccal mucosal graft or amnion graft, including harvesting of graft

67585 Repair of anophthalmic socket; with revision of implant and fornix reconstruction using sutures

67586Repair of anophthalmic socket; with revision of implant and fornix reconstruction using buccal mucosal graft, or amnion graft

(including harvesting of graft) 67700 Blepharotomy, drainage of abscess, eyelid67710 Severing of tarsorrhaphy67715 Canthotomy 67800 Excision of chalazion67825 Repair of trichiasis; by electroepilation, electrosurgery, cryotherapy or laser surgery 67830 Repair of trichiasis; incision of lid margin67835 Repair of trichiasis; incision of lid margin, with free mucous membrane graft67840 Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure67875 Temporary closure of eyelids suture (e.g., frost suture)67880 Construction of intermargin adhesions, median tarsorrhaphy, or canthorrhaphy; 67882 Construction of intermargin adhesions, median tarsorrhaphy, or canthorrhaphy; with transportation of tarsal plate67900 Repair of brow ptosis (supraciliary, midforehead or coronal approach)67901 Repair of blepharoptosis; frontalis muscle technique with suture or other material67902 Repair of blepharoptosis; frontalis muscle technique with fascial sling (includes obtaining fascia)67903 Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach67904 Repair of blepharoptosis; (tarso) levator resection or advancement, external approach67906 Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)67908 Repair of blepharoptosis; conjunctivo-tarso-Mullers muscle-levator resection (Fasanella-Servat type)67911 Repair of lid retraction (eyelid recession); without spacer 67912 Correction of lagophthalmos, with implantation of upper eyelid load 67914 Repair of ectropion; suture67915 Repair of ectropion; thermocauterization67916 Blepharoplasty, excision tarsal wedge

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67917 Blepharoplasty, extensive (e.g., Kuhnt-Szymanowski or tarsal strip operations)67921 Repair of entropion; suture67922 Repair of entropion; thermocauterization67923 Blepharoplasty, excision tarsal wedge67924 Blepharoplasty, extensive (e.g., Wheeler operation)

67930 Suture of recent wound, eyelid, involving lid margin, tarsus, and/ or palpebral conjunctiva direct closure; partial thickness

67935 Suture of recent wound, eyelid, involving lid margin, tarsus, and/ or palpebral conjunctiva direct closure; full thickness67950 Canthoplasty (reconstruction of canthus)

67961Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin

graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin

67966Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin

graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin

67971Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, one

stage or first stage

67973Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, one stage or

first stage

67974Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, one stage or

first stage67975 Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage68320 Conjunctivoplasty; with conjunctival graft or extensive rearrangement68325 Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)68326 Conjunctivoplasty reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement68328 Conjunctivoplasty reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)68330 Repair of symblepharon; conjunctivoplasty, without graft68335 Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)68340 Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens68360 Conjunctival flap; bridge or partial 68362 Conjunctival flap; total (such as Gunderson thin flap or purse string flap)68371 Harvesting conjunctival allograft, living donor68400 Incision, drainage of lacrimal gland68420 Incision, drainage of lacrimal sac (dacryocystostomy)68440 Snip incision of lacrimal punctum68500 Excision of lacrimal gland (dacryoadenectomy), except for tumor68520 Excision of lacrimal sac (dacryocystectomy)68530 Removal of foreign body or dacryolith, lacrimal passages68540 Excision of lacrimal gland tumor; frontal approach68550 Excision of lacrimal gland tumor; involving osteotomy68700 Plastic repair of canaliculi68705 Correction of everted punctum, cautery68720 Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)68745 Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube68750 Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent68760 Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery68770 Closure of lacrimal fistula 68811 Probing of nasolacrimal duct; requiring general anesthesia 68815 Probing of nasolacrimal duct; with insertion of tube or stent 69310 Reconstruction of external auditory canal (meatoplasty) (e.g., for stenosis due to trauma, infection)

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69320 Reconstruction external auditory canal for congenital atresia, single stage69400 Eustachian tube inflation, transnasal; w/ catheterization 69405 Eustachian tube catheterization, transtympanic 69420 Myringotomy including aspiration and/or eustachian tube inflation69421 Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia69436 Tympanostomy (requiring insertion of ventilating tube), w/ general anesthesia69440 Middle ear exploration through postauricular or ear canal incision69450 Tympanolysis, transcanal69535 Resection temporal bone, external approach69620 Myringoplasty (surgery confined to drumhead and donor area)69650 Stapes mobilization69660 Stapedectomy or stapedotomy w/ reestablishment of ossicular continuity, w/ or w/o use of foreign material;

69661 Stapedectomy or stapedotomy w/ reestablishment of ossicular continuity, w/ or w/o use of foreign material; w/ footplate drill out

69662 Revision of stapedectomy or stapedotomy69666 Repair oval window fistula69667 Repair round window fistula69670 Mastoid obliteration 69676 Tympanic neurectomy69700 Closure postauricular fistula, mastoid 69720 Decompression facial nerve, intratemporal; lateral to geniculate ganglion69725 Decompression facial nerve, intratemporal; including medial to geniculate ganglion69740 Suture facial nerve, intratemporal, w/ or w/o graft or decompression; lateral to geniculate ganglion69745 Suture facial nerve, intratemporal, w/ or w/o graft or decompression; including medial to geniculate ganglion

69801Labyrinthotomy, w/ or w/o cryosurgery including other nonexcisional destructive procedures or perfusion of vestbuloactive drugs

(single or multiple perfusions); transcanal

69802Labyrinthotomy, w/ or w/o cryosurgery including other nonexcisional destructive procedures or perfusion of vestbuloactive drugs

(single or multiple perfusions); w/ mastoidectomy69805 Endolymphatic sac operation; w/o shunt69806 Endolymphatic sac operation; w/ shunt69820 Fenestration semicircular canal69840 Revision fenestration operation69905 Labyrinthectomy; transcanal69910 Labyrinthectomy; w/ mastoidectomy69915 Vestibular nerve section, translabyrinthine approach69930 Cochlear device implantation, w/ or w/o mastoidectomy69950 Vestibular nerve section, transcranial approach69955 Total facial nerve decompression and/or repair (may include graft)69960 Decompression internal auditory canal69970 Removal of tumor, temporal bone

*subject to policies contained in PC 17 s 2013

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philhealth circular no. 0035, s.2013 annex 7 list of procedures with laterality

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